Individual
MICHAEL ANTHONY JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3440 E SHANGRI LA RD, PHOENIX, AZ 85028-2729
(480) 934-3033
Mailing address
3440 E SHANGRI LA RD, PHOENIX, AZ 85028-2729
(480) 934-3033
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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